240627 01/07/2015 CITY OF CARMEL, INDIANA VENDOR: 365072
d ONE CIVIC SQUARE BEST BUY BUSINESS ADVANTAGE CHECK AMOUNT: $*****1,092.89*
:. ?4 CARMEL, INDIANA 46032 PO BOX 731247 CHECK NUMBER: 240627
DALLAS TX 75373-1247 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4464000 32227 1785437 1,092.89 55" LED TV
0111EST Customer Number 9181
BuyBusiness Advantage Account Invoice Number 1785437
Invoice Date 12/15/2014
Invoice Amount $1,092.89
Account Number 605126******2537
Page 2 of 2
Please send payments to:
Best Buy Business Advantage Account Amount Paid: `
PO Box 731247 /
Dallas, TX 75373-1247
USA City of Carmel Police Department
Pat Young
3 Civic Square
Carmel IN 46032
United States
CCR Duns+4 number: 09 675 4882 8609;Cage Code: 5PKR4
009720018290612152014 229209646
Bill To: Ship To:
City of Carmel Police Department PAT YOUNG
Pat Young 3 CIVIC SQ
3 Civic Square CARMEL IN 46032
Carmel IN 46032 United States
United States
Invoice Number: Account Number: Purchase Order Number: Reference Number:
1785437 605126******2537 32227 009720018290612152014
Order Number: Contract Number: Pro'ect Number: Location:
229209646
INVOICE DETAIL
Manufacturer Extended
Qty SKU Manufacturer Name Number Model Description Rate/Price Amount
1 BB19478090 Samsung-55"Class(54-5/8"Di $999.99 $999.99
Shipping $92.90
Total $1,092.89
Product: $999.99
FULLY Tr►X EXEMPT Total $1,
Shipping:
$92.89
Account updates&billing inquiries may be submitted via our Best Buy Business Advantage Account website
at https://bestbuybusinessadvantageaccount.com or call Customer Support at 800-201-4882
Send mail to 8650 College Boulevard, Overland Park, KS 66210 or Customer.Support@bbadvantage.com
For sales inquiries call 800-373-3050
Confidential
@ Multi Service Technology Solutions, Inc. 2014
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3222
g.,
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
®Gst®gay®uslnoss Advantage Account Carmel Pollco Dop2dfriont
VENDOR
SHIP 3 Civic Squam
P.O. Son M247 TO CUMGI, IN 4=
D&IND„ Yat 7&M4247 (M)67i-2M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-640.0
9 Each Samsung 55° Class -LIED- 1080p-Smart UN55H0350AFX A $1,099.99 $1,099.99
TV
Sub Total: $1,099.99
°G' • ............ °¢
Send Invoice To:
UU
Camel Polleo Doprt ont
Attn: Pat Young
3 Civic Squaro
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. _-� PAYMENT MIM.99
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
` VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THER IS AN UNOBLIGATED BALANCE IN
THIS APPRO��ENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL g�
SHIPPING LABELS. �IGP®IT PoilcG®�Y'QII�.�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 32227 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
I
VOUCHER NO.-.--._^.WARRANT _-
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#(TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except_ _
20
---...-.._._.—._..-----------.....--...- -.....-...-..............................................._._._..---...---.....--..--........_
Signature
_------- - ---------- ------------------ Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/02/15 1785437 TV for range $1,092.89
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Best Buy Business Advantage Account
IN SUM OF $
P.O. Box 731247
Dallas„ TX 75373-1247
$1,092.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
32227 1785437 44-640.00 $1,092.89
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wedne/sday, De ember 31, 2014
ZZChief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund